NPIMap

Organization Active NPI

Boss-Ctec

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1245619378
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOSS-CTEC
Practice address
1600 San Pablo Ave
Oakland, CA 94612-1506
Phone
(510) 419-0669
Fax
(510) 451-4362
NPI assigned
May 21, 2015
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis F McCray
Title
Operations Director
Phone
(510) 419-0669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1600 San Pablo Ave
Oakland, CA 94612-1506

Mailing address

2065 Kittredge St
Suyite E
Berkeley, CA 94704-1404
Phone (510) 649-1930

National Provider Directory

National Provider Directory
Tax ID family
Building Opportunities for Self Sufficiency13 organizations share this tax ID, including this one
Part of
Building Opportunities for Self Sufficiency

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2065 Kittredge St
Ste E
Berkeley, CA 94704
Phone (510) 649-8174

1600 San Pablo Ave
Oakland, CA 94612
Phone (510) 419-0669

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1245619378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 KITTREDGE ST",
            "address_2": "SUYITE E",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041404",
            "telephone_number": "510-649-1930",
            "fax_number": "510-649-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121506",
            "telephone_number": "510-419-0669",
            "fax_number": "510-451-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS-CTEC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUILDING OPPORTUNITIES FOR SELF-SUFFICIENCY",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "510-419-0669"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.